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随着影像学的发展,特别是DSA、CTA、MRA的不断发展,颅内多发动脉瘤的诊断率不断提高,但颅内多发动脉瘤由于其部位分布广、手术难度高、风险大以及术后并发症多致患者死亡率和致残率较单发动脉瘤明显增高。本病以女性多发,小型动脉瘤术前极易漏诊。其治疗手段包括手术夹闭、血管内治疗以及结合基因治疗等,治疗的基本原则是:首先处理破裂出血的动脉瘤;对于能够在同一侧手术人路处理的多发动脉瘤,应在一次性手术中处理完毕。
With the development of imaging, especially the continuous development of DSA, CTA and MRA, the diagnostic rate of intracranial multiple aneurysms has been continuously improved. However, due to its wide distribution, high difficulty and high risk of intracranial multiple aneurysms, More complications and more patients with mortality and morbidity than single aneurysm was significantly higher. Multiple lesions of the disease in women, small aneurysm easily missed diagnosis before surgery. The treatment includes surgical clipping, endovascular treatment and combination gene therapy, the basic principles of treatment are: First, the treatment of ruptured aneurysm; for the same side of the surgical treatment of multiple aneurysms should be in a one-time surgery Processing is completed.